| NPI | 1275827719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 34011264) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 58.003841) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2018-10-24 |